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HomeMy WebLinkAbout2019-10-10 Form 497 - Garner497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Grace Garner For Palm Springs City Council District 1, 2019 AREA CODE/PHONE NUMBER STREET ADDRESS CITY Palm Springs, CA 92262 1. Contribulion(s) Received STATE 1.D. NUMBER QI eppl!cable) 1415211 ZIP CODE DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D, NUMBER) UFCW Local 1167, AFL-CIO-CLC 855 West San Bernardino Avenue 2019-10-10 Bloomington, CA 92316 ID: 1254111 Date o!This Filing 10/10/2019 Report No. 379 -------• Amendment to Report No. _a ____ _ (explain below) No. of Pages 2 ----- CONTRIBUTOR ~te'f!'1 V £D ITY OF PJ\LH SP CALIFORNIA 497 FORM 2019 OCT IO PM ~: 03 FFICE OF THE CITY LERH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER For Officlal Use Only AMOUNT CODE• (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED •IND 1,000.00 IZicoM DOTH D Check if Loan •PTY % •sec Provide Interest Rate Reason for Amendment: _____________________ ~-------------- • Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) Poworod by ISPolltlcal.oom PTY -Political Party sec -Small Contributor Committee FPPC Form 497 (Fob/2019) FPPC Advice: advlce@fppc.ca.gov (866/275-3n2) www.fppc.ca.gov